Organization
GLUCKSTADT PHARMACY LLC
Active
Other names
Gluckstadt Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BERRY (OWNER/MEMBER)
(601) 859-3939
Entity
Organization
Contact information
Practice address
154 CALHOUN STATION PARKWAY, SUITE 1, GLUCKSTADT, MS 39110
(601) 720-2290
(601) 790-2292
Mailing address
195 E PEACE ST, CANTON, MS 39046-4519
(601) 859-3939
(601) 855-2133
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
10/19/2023
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